Femoral Shaft Fractures • Muscle spasms can cause deformity of the limb • Significant amount of blood loss will occur. • Stabilize with traction splint.
Injuries of Knee Ligaments • Knee is very vulnerable to injury. • Patient will complain of pain in the joint and be unable to use the extremity normally. • Splint from hip joint to foot. • Monitor distal neurovascular function.
Dislocation of the Knee • Produces significant deformity • More urgent injury is to the popliteal artery, which is often lacerated or compressed. • Always check distal circulation.
Fractures About the Knee • If there is adequate distal pulse and no significant deformity, splint limb with knee straight. • If there is adequate distal pulse and significant deformity, splint joint in position of deformity. • If pulse is absent below level of injury, contact medical control immediately.
Dislocation of the Patella • Usually dislocates to lateral side. • Produces significant deformity. • Splint in position found. • Support with pillows.
Injuries to the Tibia and Fibula (1 of 2) • Usually, both bones fracture at the same time. • Open fracture of tibia common. • Stabilize with a padded rigid long leg splint or an air splint that extends from the foot to upper thigh.
Injuries to the Tibia and Fibula (2 of 2) Because the tibia is so close to the skin, open fractures are quite common.
Ankle Injuries • Most commonly injured joint • Dress all open wounds. • Assess distal neurovascular function. • Correct any gross deformity by applying gentle longitudinal traction to the heel. • Before releasing traction, apply a splint.
Foot Injuries • Usually occur after a patient falls or jumps. • Immobilize ankle joint and foot. • Leave toes exposed to assess neurovascular function. • Elevate foot 6”. • Also consider possibility of spinal injury from a fall.
Injuries from Falls Frequently after a fall, the force of the injury is transmitted up the legs to the spine, sometimes resulting in a fracture of the lumbar spine.
Foot Stabilization A pillow splint can provide excellent stabilization of the foot.